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• • <br /> ~ <br /> ii <br />I IIIIIIII IIIIIIII 5(0 <br /> Notice of Intent g Operations ~E E/ <br />C <br /> <br />110(2) Annual <br />rceuv~~ ~/ <br />E~ <br />AUK <br />Permittee Name: Washington County ~ 1 1995 <br /> 0 DiviSron orMne <br />~ <br />m <br />a Gravel Pit <br />/ ra~S~Geol <br />nn <br />versary <br />Date: 25/ <br />OS <br />95 ogY <br />Total: $225.00 (Due on your Anniversary Date) <br />1. a. Permitted acreage: J / b. County where mine is located: IJG. ~ <br />2. Has this mine been granted TEMPORARY CESSATION STATUS? YES NO <br /> <br />Does this mine operate MORE or LESS than 180 days per year? _~ <br />MORE LESS <br /> Do you extract MORE or LESS than 70,000 tons of mineral or <br /> overburden a year? MORE L~E~ <br />3. Does this mine have a phased reclamation plan? YES NO <br />4. Total acres affected during the report year:* ""/~ <br />r`/r~A~l=' <br />5. Total acres reclaimed for the report year:* ~(o,~ t <br />6. Total acres in various stages of reclamation:* <br /> a. Backfilled: d. Topsoil replaced : <br /> b. Graded: Average topsoil thickness <br /> c. Seeded: replaced: <br /> List species seeded & seeding <br /> rate for report year on back <br />7. The type and approximate quantity of fertilizers, organic ma terial or soil <br /> conditioners used for the report year:* <br />8. Estimated total acres to be affected in the next r <br />eport year :* ~s~ cj~_. <br />9. n <br />COMMENTS: J~Ic~ c <br />r,-~ „c ~ ~ S ~, ~6; , ,~ +/am ~~, ~ Qi-~ ~f <br /> r <br /> X2,5 ,l;xe - ~/~. ~o nr~.~, ~~i ~~a~r <br />* Please show the location of the acreage for items 4 - 6 on your map**. <br />Indicate the phases of the reclamation which have been completed, correlated with <br />your timetable. <br />** NOIE: If there have not been any changes since the last annual report and you <br />previously submitted a map which correctly depicts the current acreage in items 2 <br />through 6, then a new map is unnecessary. However, this must be stated above. <br />Signature, --~ Q~~D Date: S- 7- 9J <br />Please type or print current contact name, mailing address, and phone number below: <br />Contact Name: L ~ ~~ ~ Phone: ( ~JO ) 38.5- ,Z~7/6 / <br />Company: ( C1.c C,'.~~Un ~-U(.t.~~^('v <br />Address: l/9~~ ~a~ ~'~ 4~ <br />Federal Tax ID No. or Social Secu,~ty No.: ~ ~-" ~)(apj;(/ <br />